Individual
MARY E HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2611 EUBANK BLVD NE, AZTEC COMPLEX, ALBUQUERQUE, NM 87112-1312
(505) 298-6752
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
565
NM
Other
Enumeration date
09/11/2009
Last updated
03/18/2025
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